MARY ALSTON KERLLENEVICH, PH.D.
NPI 1033364971
Psychologist in St Augustine, FL

Active since November 19, 2008
1100 S PONCE DE LEON BLVD STE 1, ST AUGUSTINE, FL 32084(904) 824-7733(904) 829-9768 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Alston Kerllenevich, Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ALSTON KERLLENEVICH, PH.D. (NPI 1033364971) is a healthcare organization registered as a psychologist in St Augustine, Florida and active in the NPI registry since November 2008. The organization lists Mary A Kerllenevich, Mgrm, as its authorized official.

NPPES Registry Identity

NPI1033364971
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMARY ALSTON KERLLENEVICH, LLC
Location Address1100 S PONCE DE LEON BLVD STE 1St Augustine, FL 32084-6013
Mailing Address4900 Us Highway 1 N, Suite 400St Augustine, FL 32095-6271
Fax(904) 829-9768
Organization SubpartNo
Authorized OfficialMary A KerllenevichMgrm · (904) 824-7733
Enumeration DateNovember 19, 2008
NPI 1033364971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY 7744
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1100 S PONCE DE LEON BLVD STE 1, St Augustine, FL 32084

Other Names 1

Other NameMary Alston Kerllenevich, Ph.d.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
Psychologist
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084
Social Worker (Clinical)
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084
Social Worker (Clinical)
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
Psychologist
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
Counselor (Mental Health)
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084
Counselor (Mental Health)
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
Counselor (Mental Health)
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Alston Kerllenevich, LLC's NPI number?

The NPI number for Mary Alston Kerllenevich, LLC is 1033364971. It was assigned to this organization in the NPPES registry on November 19, 2008. The provider is also known as Mary Alston Kerllenevich, Ph.D..

Where is Mary Alston Kerllenevich, LLC located?

Mary Alston Kerllenevich, LLC is located at 1100 S Ponce De Leon Blvd Ste 1, St Augustine, FL 32084. The listed phone number is (904) 824-7733.

What is Mary Alston Kerllenevich, LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mary Alston Kerllenevich, LLC was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.